Individual
MARIAH KATHRYN HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
800 RAVENHILL DR, ATCHISON, KS 66002-9204
(913) 360-5550
Mailing address
800 RAVENHILL DR, ATCHISON, KS 66002-9204
(913) 367-2131
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-05779
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016289142
PTAN
KS
05
—
30005205610001
—
KS
05
—
480157250
—
MO
Enumeration date
07/28/2023
Last updated
02/13/2026
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